Arizona Health Insurance Statistics

Arizona Medical Insurance Statistics

Consider the following statistics about health care coverage in Arizona:

Total Arizona Residents – 6,440,854
Arizona uninsured residents – 18.92%
Total Arizona HMO enrollment – 1,602,458
Avg annual employee premium in AZ employer-sponsored plan (after employer contrib): $811
Avg AZ hospital cost per inpatient day (before insurance) – $2,039

Source data according to the Kaiser Family Foundation:
Health Insurance Coverage of the Total Population, states (2007-2008), U.S. (2008)
Total HMO Enrollment, July 2008
Average Single Premium per Enrolled Employee For Employer-Based Health Insurance, 2008
Hospital Adjusted Expenses per Inpatient Day, 2007

Federal Small Business Health Tax Credit for AZ Small Businesses

In 2010, the President signed into law the Patient Protection and Affordable Care Act, which includes special federal tax credits for small businesses offering health insurance, dental insurance or vision insurance to employees. The credit is only available for tax years 2010-2013 and is designed to make health insurance benefits more affordable for small business owners before health reform is fully implemented in 2014.

The federal tax credit will reimburse qualifying small businesses for up to 35% of the premiums they pay towards employee medical, vision and dental insurance. Tax-exempt organizations may qualify for a tax credit of up to 25%. To qualify for the full credit, the following criteria must be met:

  • The company employs fewer than 25 full-time workers (or equivalent)
  • Average annual wage per worker must be less than $50,000
  • The employer must currently pay at least 50% of the total premium for employee coverage (not counting dependents)

Small businesses with fewer than 10 full-time employees that pay average annual wages of $25,000 or less may qualify for the full credit. The amount of the credit is reduced for companies with more full-time workers and higher wages, until it is phased out entirely for those with 25 or more full-time workers and average annual wages over $50,000.

Because eligibility rules are based in part on the number of full-time employees, not the total number of all employees, businesses that use part-time help may qualify even if they employ more than 25 individuals.

PPACA Obamacare is coming in October

The PPACA , or Obamacare as it is known to many will be rolling out very soon. The legislation as most of us recall is very confusing, well over 1,000 pages in length, and has provisions that will be enforced by the IRS. The insurance premiums for many people will increase drastically while many others will qualify for subsidies that will lower their premiums considerably.

At AZSHIS, we have studied this legislation in great detail and have relationships with many carriers in Arizona that will be providing health insurance to those under the age of 65. Stay tuned for news about one of upcoming seminars that will provide information about Obamacare . We will also  enroll you  in a health insurance plan when they become  available this October.


Obamacare? Let’s See…


Can you get Obamacare?

This insanely complicated chart will tell you.

Posted by Sarah Kliff on March 20, 2013 at 9:26 am


Last week I posted a copy of the draft application for Obamacare benefits, which clocks in at a hefty 21 pages.

Consumer advocates and Wonkblog commenters had similar questions: Why on earth would the federal government create such a complex form to obtain a public benefit?

For me, at least, the flowchart below provides a bit of an answer. It comes from the National Association of Insurance Commissioners, which represents the regulators who oversee each state’s insurance market. It is an attempt to draw up the most basic, simple questions to determine eligibility for insurance subsidies or Medicaid.

You don’t have to spend much time with the chart to get that, it’s really not simple at all. (click here for a larger version).

naic flowchart

It can take as many as six questions just to determine an individual’s ability to buy insurance. An eight-question chain sorts out eligibility to eschew employer coverage and buy an individual plan with a tax credit instead.

In a way, this is a natural extension of the law’s structure. The Affordable Care Act grows two different insurance programs, Medicaid and the individual market. Information on income levels is needed to figure out who qualifies for which one.

The Obama administration isn’t collecting 21 pages of information for its own entertainment. It’s collecting 21 pages of information to figure out where people land on this flowchart.

Medicare: A Quick Overview

Medicare is a Federal health insurance program. It covers most people 65 years old and over, some people younger than 65 with disabilities, people diagnosed with amyotrophic lateral sclerosis (ALS), and those with end-stage renal disease (ESRD).

Medicare is divided into several parts. This fact sheet discusses: Part A, Hospital Insurance and Part B, Medical Insurance. For more information on Medicare Part C (Medicare Advantage Plans) and Part D (the prescription drug benefit), please see our fact sheets Medicare Advantage Overview and Part D Overview at

Part A: Hospital Insurance
Part A covers most in-patient hospital care, some in-patient skilled nursing facility care, some home health care, and hospice care.

There is no monthly Part A premium for people who have 40 or more quarters of Social Security credits (about 10 years of full-time work with four quarters per year) and who are eligible for Social Security or Railroad Retirement benefits. People insufficient Security quarters may buy Part A and pay a monthly premium of $451.00 (for 2012).

Part B: Medical Insurance
Part B covers a portion of the Medicare approved costs for out-patient medical services such as doctors’ services, out-patient hospital care, laboratory tests, out-patient physical and speech therapy, some home health care, ambulance services, and some medical equipment and supplies.

Part B coverage is optional. If you or your spouse are still working and you are covered by your employer group health plan, you may not need this part of Medicare until you or your spouse retire. (See our fact sheet Coverage After 65 if You or Your Spouse Works). For people who enroll in Part B and receive Social Security, the Part B monthly premium ($99.90 in 2012, for beneficiaries with individual incomes of $85,000 or less) is automatically deducted from their Social Security check every month. For people who do not receive Social Security, they will be billed quarterly for Part B. Medicare does not offer comprehensive coverage. Even though it pays for some preventive services and covers most medically necessary services, Medicare pays for less than half of what it typically costs beneficiaries for all of their health care expenses. Some examples of items that Medicare will not pay for are: hearing aids, eyeglasses, dental care and long term care at home or in a nursing home, when the care you need is primarily personal care services/custodial care.

Avoid Junk Insurance/ Obamacare

If you think you’re having trouble choosing between an HMO, PPO, HSA or any other assortment of acronyms, imagine adding another layer of difficulty. That’s right; the Affordable Care Act (better known as Obamacare), is about to go into its final and most important stage of implementation. This means that within the next year, the individual mandate will go into effect and everyone will need to get health insurance. People who are on employer-sponsored plans or existing individual plans will not need to change anything, but thanks to state-based “healthcare exchanges,” it will become a lot easier for the uninsured to find affordable Arizona health insurance.

Ever since Obamacare became the “law of the land” and all hope of its repeal faded away, states have been taking a more serious approach to its implementation. It didn’t take the reelection of President Obama for Arizona lawmakers to realize that it would be upheld. That decision was made when the Supreme Court ruled that the mandate in the Affordable Care Act was “constitutional.” But whether you oppose or approve the law is less important than whether you understand its impact on your life.

According to one article from the Tucson Citizen earlier this year, “Obamacare saves Arizona consumers $27.9 million,” the Affordable Care Act’s 80/20 rule will result in millions of dollars in rebates from insurance companies. While they only average $118 per family, 414,000 Arizona residents are currently eligible for the rebates.



The 2013 Annual Enrollment Period (AEP) Is Here!!

From now (October 15th) to December 7th, the annual enrollment period for Medicare health insurance plans is here. If you would like to review what is available in Arizona contact us at Arizona Senior Health Insurance Solutions. We will help you find the plan that will help you live your life to the fullest.